Organization
HALIFAX CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS BARNES MITCHELL MD (PRESIDENT)
(434) 476-7455
Entity
Organization
Contact information
Practice address
235 N MAIN ST, HALIFAX, VA 24558
(434) 476-7455
(434) 476-6385
Mailing address
PO BOX 849, HALIFAX, VA 24558
(434) 476-7455
(434) 476-6385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101029850
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282511
BLUE CROSS
VA
Enumeration date
04/08/2008
Last updated
04/08/2008
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